Clinical Psychology Commons^™

Effects Of A Mindfulness-Based Intervention On Psychological Outcomes Including Self-Compassion, Mental Health, And Behavioral Outcomes In Parents Of Children With Autism Spectrum Disorder, Natalia Andrea Velásquez

Theses and Dissertations

The present study utilized a brief mindfulness-based intervention to examine the relationship between psychological/behavioral factors, such as mindfulness and self-compassion, in improving parental stress, psychological well-being, and behavioral outcomes in parents of children with Autism Spectrum Disorder (ASD). Four parents of children with ASD engaged in a 3-session mindfulness-based intervention that included psychoeducation on mindfulness and self-compassion skills, experiential exercises, and implementation of mindfulness and self-compassion skills in parenting vignettes. Measurements included the Five Facet Mindfulness Questionnaire (FFMQ), Self-Compassion Scale (SCS), Parental Stress Index-4 Short Form (PSI-4 SF), Patient Health Questionnaire-9 (PHQ-9), Acceptance and Action Questionnaire-II (AAQ-II), and behavioral mindfulness …

The Oq-45: The Structure Of Mental Health Symptoms During Psychotherapy, Lindsay Arader

Theses and Dissertations

The structure of the Outcome Questionnaire-45 (OQ-45; Lambert et al., 2004b) was examined across three time points in a sample of 199 psychotherapy clients at an outpatient community clinic in the greater New York area. Five models—a one-factor model, two-factor (oblique) model, three-factor (oblique) model, two sub-factor bifactor model, and three sub-factor bifactor model—were tested at baseline, 8 weeks, and 16 weeks. The two sub-factor bifactor model fit the data best at baseline, and the three sub-factor bifactor model fit the data best at 8 weeks and 16 weeks. These results demonstrate that the OQ-45 items load onto one general …

Reflective Processing And Intimate Partner Violence, Rachel Zukerman

Theses and Dissertations

Intimate Partner Violence (IPV) is a prevalent problem, especially among college students. The serious physical and psychological consequences of IPV highlight the need to better understand its correlates. Individuals tend to process information and make decisions in different ways; these styles of thinking and decision likely hold important implications for intimate partnerships. Using a sample of undergraduate students, the current study aims to better understand the thinking processes of those who engage in IPV. Furthering our understanding of the cognitive processes that predict IPV may hold important treatment implications, both from a preventive and therapeutic standpoint. Previous studies show that …

Effectiveness Of E-Health Interventions For Externalizing Behaviors: A Meta-Analysis, Celeste Sangiorgio

Theses and Dissertations

eHealth treatments vary widely from automated treatment protocols to professional-led treatment tools that are integrated into treatment protocols with therapists. This dissertation organized, coded, and submitted 33 eHealth treatment trials to meta-analytic study to assess eHealth treatment study effectiveness overall and for each type of eHealth treatment type. Systematic review and descriptive analyses revealed that eHealth treatments that target externalizing behaviors varied widely in study, sample, and design characteristics. eHealth treatments most frequently targeted externalizing behaviors in adolescent samples (n = 22), adapted cognitive behavior therapy (CBT) to digital platforms (n = 11), and integrated digital tools into traditional treatment …

A Comparison Of Clinic-Based And Telehealth Parent-Child Interaction Therapy, Abigail Peskin

Theses and Dissertations

Despite the rich evidence for early intervention to prevent/treat emotional and behavioral disorders, a gap continues to exist between research and practice, and multitudinous barriers prevent families from accessing vital evidence-based services. Telehealth is an emerging area of research and clinical practice, often proposed as a solution for multiple barriers to service provision. However, despite scattered promising evidence translating in-person treatments to telehealth, many treatments still lack established effectiveness in a virtual format. Parent-child interaction therapy (PCIT) is a traditionally in-person behavioral parenting intervention uniquely well-suited to telehealth, as during typical clinic practice the clinician is not in the clinic …

The Social Role Of Gender: How Gender Roles And Gender Stress Impact Dating Violence Attitudes And Outcomes, Jin Lee

Theses and Dissertations

Dating violence is a prevalent problem with many long-term deleterious effects, including difficulties with future relationships. Much of the research regarding beliefs about dating violence focuses on the acceptability of violence. The justification of violence in certain situations, such as self-defense, revenge, or playing around, has been found to be strongly related with dating violence, and even to predict dating violence perpetration, particularly among men. Further research has shown that individuals who adhere to traditional gender role attitudes display greater acceptance of violence against women in particular. Additional research has shown that when gender norms are violated, it leads to …

The Semantic And Acoustic Voice Features Differentiating Neutral And Traumatic Narratives, Yosef Shimon Amrami

Theses and Dissertations

This dissertation is a quantitative and qualitative exploration of how one linguistically communicates emotions through an autobiographical narrative. Psycholinguistic research has affirmed that linguistic features of a narrative, including semantic and acoustic features, indicate a narrator’s emotions and physiological. This study investigated whether these linguistic features could help differentiate between trauma and neutral narratives and if they can predict autobiographical narratives’ subjective trauma ratings (STR). Qualitative analyses of the positive and negative evaluative statements were also conducted, which indicated the narrators’ thought processes during recall. Twenty-two Spanish-English college students participated in this study and narrated both traumatic and neutral narratives. …

Exploring Emotion Regulation And Altruism When Experiencing Compassion Fatigue From Humanitarian Crises, Including Covid- 19., Saniya Tabani

Theses and Dissertations

Despite knowledge of devastating statistics, it has been observed that when hundreds, or even millions are suffering in large-scale crises, including genocides, refugee crises, and more recently, the COVID-19 pandemic, humans seem unable to process and comprehend the magnitude of that suffering on an emotional level. While the expectation is that compassion should increase proportionally with the number of people suffering in catastrophes, prior research has shown a negative relationship such that as need increases, donations decrease. Some factors that may impact this include the identifiable victim effect, use of emotion regulation strategies, specific cognitive processing styles, and compassion fatigue. …

Return To Play And Class For Concussed College Athletes Predicted From Post-Concussion Symptom Domains, Jazmin Nicole Mogavero

Theses and Dissertations

Each year approximately 1.6 to 3.8 million people suffer a sports-related traumatic brain injury (Langlois, Rutland-Brown, & Wald, 2006). Concussions, a common form of mild traumatic brain injury, account for 75% of total brain injuries in the United States (Faul, Xu, Wald, & Coronado, 2010). In sports, concussions account for 1 of every 10 injuries (Marar, McIlvain, Fields, & Comstock, 2012). Overall, concussion symptoms typically remit within one to four weeks from injury (McCrea, 2007); however, conflict exists surrounding the duration of time that would be safe for a concussed student-athlete to return to functioning, both to sport and to …

Predicting Treatment Response In Borderline Personality Disorder: What Can Neuroimaging Tell Us?, Christina Ann Michel

Theses and Dissertations

Borderline personality disorder (BPD) is a severe mental illness affecting over four million individuals in the United States alone. Emotion dysregulation is a core feature underlying BPD; however, the neural underpinnings of emotion dysregulation and how neural correlates relate to treatment response is not well understood. The present study examines BOLD activation during a functional magnetic resonance imaging (fMRI) task of emotion regulation to understand neural correlates of reappraisal and how this neural activity is related to treatment outcomes. Individuals with BPD (N=37) underwent fMRI at baseline and were randomized to 6-months of either dialectical behavioral therapy (DBT; N=17) or …

Mentoring In The Training Cycle Of Clinical And Counseling Psychology Doctoral Students: A Critical Review Of The Literature, Hélène Farr

Theses and Dissertations

This dissertation presents a critical review and analysis of the literature on mentoring in clinical and counseling psychology training programs. It provides background information on the mentoring process and a detailed analysis of current empirical research pertaining to mentoring in the training cycle of clinical and counseling psychology doctoral trainees through predoctoral internship and postdoctoral fellowship to licensure. The goal of this review is to highlight the importance and benefits of mentorship for mentors, protégés, institutions or universities, and for the profession of psychology. There are few studies focused on mentorship during psychology training, therefore recommendations are made for future …

Japanese American Internment Experience And The Impact On Parent-Child Relationships, Jazmine Miyoshi Miyake

Theses and Dissertations

During World War II and after the attacks on Pearl Harbor, the United States confined 120,000Japanese Americans in internment camps. The current study examined the incarceration of Japanese American citizens and its effect on parenting across generations. Specifically, the study examined parent-child relationships and the possible emergence of the relationship-directed parenting orientation across generations within this specific population. In order to examine the research objectives, the proposed qualitative research study utilized archived interview data. The interviews were conducted with participants of Japanese American descent who were incarcerated in camps during World War II and/or their family members. A hermeneutic phenomenological …

The Impact Of Exercise On Adolescents With Depression: A Systematic Review Of The Literature, Matthew P. Kloeris

Theses and Dissertations

The purpose of the present study was to summarize and synthesize the research that pertains to the impact of aerobic exercise on adolescents with depression. This review addressed aerobic exercise as a mental health treatment, such as differences between (a) post-intervention and follow-up response and remission rates; (b) exercise in lieu of psychotherapy or exercise as an adjunct to psychotherapy; and (c) response and remission rates amongst minority gender and racial and ethnic groups. The search results produced a total of 2,122 articles. Of which, eight articles were eligible for the present systematic review. Based on the results, it appears …

The Buffering Effects Of Resilience On Alcohol Use: A Phenotypic And Genotypic Investigation, Shannon Cusack

Theses and Dissertations

The college years encompass a time of vulnerability for problematic alcohol use/alcohol use disorder (AUD) and exposure to traumatic events (TE), which is a transdiagnostic risk factor for AUD, posttraumatic stress disorder (PTSD), and comorbid AUD-PTSD. However, not all who experience a TE develop these disorders, highlighting the need to identify factors that impact post-trauma outcomes. Resilience has been shown to be associated with lower alcohol consumption and related problems following TE, though the buffering effects of resilience on alcohol use have not yet been examined. Further, twin studies demonstrate that resilience is moderately heritable, but further research is needed …

Development Of A Resource Manual For Working With Latino Parolees, Abner Flores

Theses and Dissertations

The standard psychological treatment available for Latino men who are newly released from prison has remained unchanged for over thirty years and focuses on decreasing recidivism through cognitive-behavioral interventions by managing and decreasing law-breaking behaviors. However, clinical experience with inmates suggests that personal experiences, cultural values, and intergenerational trauma along with the long-term impact of poverty, gang ties, and repeated incarceration will all influence post-release behavior. Understanding these areas could help draw out protective factors and innate resiliency, therefore informing treatment and helping newly released inmates from becoming repeat offenders. In this dissertation, I developed a resource manual for service …

A Non-Inferiority Randomized Controlled Trial Comparing Behavioral Sleep Interventions In Women Veterans: A Secondary Analysis Of Pain Outcomes, Scott Ravyts

Theses and Dissertations

Women are disproportionally more likely to experience both insomnia and chronic pain. While these two conditions frequently co-occur, a wealth of literature suggests that insomnia is a stronger predictor of pain than pain is of insomnia. Preliminary research indicates that sleep apnea may also lead to adverse pain outcomes, with the combination of insomnia and sleep apnea contributing to an adverse synergistic effect on pain. Despite the clinical implications of such findings, knowledge regarding the interrelations between sleep disorder complexity and pain remain limited, especially among women. Additionally, interventions seeking to improve pain by targeting insomnia have yielded inconsistent results …

Genetics And Alcohol Interventions In Youth, Zoe E. Neale

Theses and Dissertations

Alcohol is the most commonly used substance among youth, and risky alcohol use is associated with harmful consequences such as accidents, academic consequences, and physical and emotional health problems. Alcohol use disorders are approximately 50% heritable, yet most efforts to prevent and intervene upon youth alcohol use focus only on environmental factors. Furthermore, current prevention and intervention programs tend to have modest effects and are not uniformly effective for all individuals. Gene-by-intervention (GxI) studies offer an opportunity to expand current understanding of interventions by examining whether underlying genetic risk may contribute to differential program effects. Much of the current GxI …

Expand Your Horizon: Investigating An Online Intervention For Weight Bias Internalization, Alexandria Davies

Theses and Dissertations

Weight bias internalization (WBI; i.e., self-directed weight stigma or the degree to which individuals apply negative weight-based stereotypes to themselves), is problematic because it is associated with increased stress, emotional eating, healthcare avoidance, and exercise avoidance. Thus, WBI exacerbates health disparities and there is an urgent need to create treatments that address this concern. The current study examined the preliminary effectiveness of a previously developed online body gratitude journaling intervention (i.e., Expand Your Horizon) compared to an active control writing condition in emerging adult women with WBI. Racially/ethnically diverse women (N=100; n=49) or Expand Your Horizon ( …

Western Clinicians’ Diagnostic Accuracy Of Culture-Bound Syndromes, Lisa Y. Chung

Theses and Dissertations

Culture-bound syndromes are of increasing importance in today’s more diverse world. The current study measured the ability of clinicians trained in a western setting to accurately diagnose culture-bound syndromes from cultures outside of their background. Eight-four clinicians were recruited through the American Psychological Association (APA) membership directory. All recruited clinicians were asked to read three vignettes. In two vignettes a patient was suffering from either Hwabyung or Ataque de Nervios and the third vignette represented a control GAD vignette. The clinicians were asked to diagnose the patient in the vignette, to explain what information informed their diagnosis, to complete two …

A Psychometric Evaluation Of The Best In Class Adherence And Competence Scale, Katrina A. Markowicz

Theses and Dissertations

It is critical to utilize treatment integrity instruments to support the evaluation of evidence-based programs in early classroom contexts. However, in the early childhood field, guidelines for collecting treatment integrity data are underdeveloped. Consequently, most treatment integrity instruments employed in the field solely assess adherence, vary in design features and have little psychometric evidence supporting their use. As such, this represents a gap in the field that might slow efforts to implement evidence-based programs. The current study examines the score reliability and validity of an observational treatment integrity instrument (The BEST in CLASS Adherence and Competence Scale [BiCACS]; Sutherland et …

E-Cigarette Use And Perceptions Among Adolescents With Attention-Deficit/Hyperactivity Disorder: The Role Of Parental Messages About Tobacco, Mayra S. Ramos

Theses and Dissertations

Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of using e-cigarettes compared to their neurotypical peers. Parent-adolescent communication about tobacco use and number of ADHD symptoms can influence adolescents’ perceptions of e-cigarettes and their e-cigarette use. Adolescents with ADHD (n = 80) completed questionnaires assessing parental messages about tobacco use; e-cigarette harm perceptions; susceptibility to use e-cigarettes; and e-cigarette use. Parents reported on messages about tobacco use, adolescent’s ADHD symptomatology, and completed demographic questionnaires. Twenty-percent of adolescents reported e-cigarette ever use. Adolescent girls were significantly more likely to report higher e-cigarette harm perceptions than boys. Parents reported providing messages …

Mobile-Based Contingency Management To Promote Daily Self-Monitoring Of Pain Severity And Related Measures In An Online Sample Of Individuals With Chronic Pain, Kathryn Polak`

Theses and Dissertations

Between 11% and 40% of the US population experience chronic pain. One promising pain management solution is remote self-monitoring. Unfortunately, low rates of adherence have impeded the use of remote self-monitoring among chronic pain patients. One robust strategy for improving adherence is contingency management (CM). This project pilot tested a fully-automated CM app (DynamiCare Rewards) programmed with an escalating variable-ratio reinforcement schedule for promoting daily self-monitoring of pain symptom severity, related variables (e.g., sleep), and prescription opioid use over a 28-day period in a sample of individuals with chronic pain. A pilot RCT compared participants randomized to CM (n …

Breaking The Cycle: A Longitudinal Study Of Factors That Disrupt Peer Selection And Influence Processes Among Urban Youth, Kelly E. Oconnor

Theses and Dissertations

Having friends who engage in problem behavior (i.e., aggression, substance use, delinquency) has consistently been linked to adolescents’ own engagement in problem behavior. There are, however, several key gaps in the literature on peer influence. Few studies have considered the influence of friends’ prosocial behavior and there has been limited research to identify promotive factors that influence urban youths’ affiliation with peers who engage in problem and prosocial behavior across early adolescence, a time of heightened susceptibility to peer influence. The purpose of this study was to identify modifiable promotive factors that reduce adolescents’ problem behavior by decreasing exposure to …

The Relation Between Hyperlipidemia, Hypertension, And Downstream Cognitive And Neuroanatomical Function, Victor James Wasserman

Theses and Dissertations

Objective: Cardiovascular risks (CVR) such as hypertension and hyperlipidemia play a critical role in the emergence of dementia syndromes. Medication to treat CVR may not obviate downstream risk for cognitive change.

Methods: To examine the relation between history of treatment with medications to treat CVR and cognitive outcomes, participants were seen at time points ~7 years apart, completed neuropsychological evaluations, assessed for history of treatment with medication associated with hypertension and hyperlipidemia as indicators of CVR, and classified into 3 groups: Not Treated, Inconsistently Treated, and Consistently Treated. Regression models associating neuropsychological outcome measures of cognition and CVR were explored …

The Mediating Role Of Emotion Dysregulation In The Association Between Intimate Partner Victimization Types And Symptoms Of Depression In Young Hispanic Women, Maria Gabriela Copeiro De Lestarpe

Theses and Dissertations

Intimate Partner Violence (IPV) is defined as the abuse or aggression that occurs in a close relationship. Statistics show that the most prevalent types of IPV are psychological, physical, and sexual. In the U.S. 1 in 4 women (24.4%, or 29.2 million) are victims of IPV before the age of 25. Minorities and socioeconomically disadvantaged women are most likely to experience it. Depression, among others, is one of the harmful consequences resulting from IPV victimization. The present study focuses on the role of emotion dysregulation in the association between IPV and depression. It was hypothesized that emotion dysregulation mediates the …

Cyber Intimate Partner Victimization And Its Association With Depression And Alcohol Use Among Hispanic Emerging Adults: Identifying Protective Factors, Jorge I. Cantu

Theses and Dissertations

The advent of modern technology has inadvertently created newer avenues for intimate partner victimization (IPV) to transpire. This study investigated whether among Hispanic emerging adults psychological, sexual, and stalking intimate partner cybervictimization (cyber IPV) types were uniquely associated with depression and alcohol use; whether there were additive effects of cyber IPV types on depression and alcohol use; and to test whether cognitive reappraisal, self-compassion, and flourishing served as protective factors by moderating the unique effect of each cyber IPV type and the effect of cyber IPV multi-victimization on depression and alcohol use.

Participants were 1,129 Hispanic emerging adults in the …

Analysis Of Sex Offender Subgroups Using The Minnesota Multiphasic Personality Inventory- Second Edition- Restructured Form (Mmpi-2-Rf), Isabella Campanini

Theses and Dissertations

The current study aimed to expand the existing literature on sex offenders with regards to personality and psychological dysfunction, by comparing specific subgroups of sex offenders using the Minnesota Multiphasic Personality Inventory- Second Edition- Restructured Form (MMPI-2-RF). Archival data from a sample of N = 244 adult male sex offenders was grouped based on four characteristic variables: offense type (contact vs. noncontact), relationship to the victim (familial vs. nonfamilial), victim age (younger vs. older), and the presence or absence of a personality disorder diagnosis or features. MANOVA and ANOVA results demonstrated that contact offenders scored significantly higher than noncontact offenders …

Stress, Burnout, And Experiential Avoidance In Clinical Psychology Doctoral Students, Katie Marie Connor

Theses and Dissertations

Research has shown that clinical psychology doctoral students experience stress and burnout, with attempts to moderate their experience utilizing various coping skills. The current study aimed to expand the literature on stress and burnout in clinical psychology doctoral students and the impact of experiential avoidance as a coping style. The current study surveyed clinical psychology doctoral students on their integration of experiential avoidance, as well as various coping styles, to mitigate stress and burnout. COVID-19 data and descriptive statistics were gathered as well. A correlational analysis and dependent sample t-test were conducted to understand the relationships between variables. The results …

Biracial And Bicultural Identity Formation: Lessons Garnered From Sense Of Belonging And Code-Switching In Fostering Optimal Psychological Wellbeing And Mental Health, Kimberly Foley

Theses and Dissertations

In an era of systemized racial discrimination, the U.S.A. is in search of resolution to ameliorate the chronic racial divide, which has led to the declaration of racism being a public physical and mental health issue. The national epidemic of racism has given way to cultural health disparities for People of Color (POCs) that require our urgent attention as a nation, which are attributed to racial trauma that compromises POCs physical and psychological wellbeing. The belief that the answer to resolve the racial health crisis and racial divide may lie in the achievement of a healthy and developed biracial/bicultural identity. …

The Impact Of Childhood Sexual Abuse On Adulthood Eating Disorders: When Healthy Eating Becomes Unhealthy, Audryn Andreoli

Theses and Dissertations

The Centers for Disease Control and Prevention (CDC; 2020c) estimated that approximately 3.7 million children experience childhood sexual abuse (CSA) every year in the United States. CSA is a significant issue associated with negative psychosocial and health-related outcomes, including eating disorders (Afifi et al., 2017). While there has been substantial research completed regarding CSA and eating disorders, there is a significant gap in the literature regarding Orthorexia Nervosa (ON) and CSA. The present study sought to determine whether CSA is a risk factor ON and determine the relationship between frequency of occurrence of CSA, sex, race, previous eating disorder diagnosis, …